
{"id":1852,"date":"2012-04-03T00:00:00","date_gmt":"2012-04-03T00:00:00","guid":{"rendered":"http:\/\/otava.test\/hipaa-hosting-qa-with-a-certified-hipaa-practitioner-security-specialist\/"},"modified":"2012-04-03T00:00:00","modified_gmt":"2012-04-03T00:00:00","slug":"hipaa-hosting-qa-with-a-certified-hipaa-practitioner-security-specialist","status":"publish","type":"post","link":"https:\/\/www.otava.com\/blog\/hipaa-hosting-qa-with-a-certified-hipaa-practitioner-security-specialist\/","title":{"rendered":"HIPAA Hosting Q&#038;A with a Certified HIPAA Practitioner &#038; Security Specialist"},"content":{"rendered":"<p>We get a lot of questions from clients about HIPAA compliance and security. To help clear up any confusion, our Certified HIPAA Practitioner (CHP) and Certified HIPAA Security Specialist (CHSS) Joe Dylewski of <a href=\"https:\/\/www.atmpgroup.com\/\">ATMP Solutions<\/a> answered the questions we shared with him below:<\/p>\n<p><strong>Q: What is the association of NIST w\/ an independent HIPAA audit?<\/strong><br \/>\nA: NIST is the National Institute of Standard and Technology. ATMP, utilizing SecureGRC, leverages NIST guidance when conducting HIPAA Risk Assessments.<\/p>\n<p><strong>Q: Is it possible to be HIPAA compliant without an HROC (HIPAA Report on Compliance \u2013 or without a HIPAA risk assessment?<\/strong><br \/>\nA: No. 45 CFR 164.308(a)(1)(ii)(a) is a required Implementation Specification under the HIPAA Security Rule, Security Management Process Standard. An HROC is not a required document. However, organizations must be able to produce evidence that they have completed an assessment and resolved any deficiencies or vulnerabilities. An HROC demonstrates the auditable steps that an organization took in that process.<\/p>\n<p><strong>Q: Can you explain where the HITECH act specifies antivirus is \u201crequired\u201d?<\/strong><br \/>\nA: \u201cProtection from Malicious Software,\u201d 45 CFR 164.308(a)(5)(ii)(b), is an Addressable Implementation specification under the HIPAA Security Rule, Security Awareness and Training Standard. Addressable does not equate to Optional.<\/p>\n<p>\u201cProtection from Malicious Software\u201d is one of the key HIPAA Implementation Specifications as it speaks to the Confidentiality, Integrity, and Availability of Electronic Protected Health Information.<\/p>\n<p><strong>Q: What about offsite backup and\/or disaster recovery?<\/strong><br \/>\nA: The ability to store a recoverable set of Electronic Protected Health Information (ePHI), and test that process, are critical components that are governed by multiple HIPAA Implementation Specifications and Standards:<\/p>\n<p><em>Contingency Plan Standard, 45 CFR 164.308(a)(7<\/em><em>)(i)<\/em><\/p>\n<ul>\n<li>Data <a href=\"https:\/\/otavawebsite.wpengine.com\/solutions\/data-protection\/cloud-backup\/\">Backup<\/a> Plan (Required) \u2013 45 CFR 164.308(a)(7)(ii)(A)<\/li>\n<li><a href=\"https:\/\/otavawebsite.wpengine.com\/solutions\/data-protection\/disaster-recovery-as-a-service\">Disaster Recovery<\/a> Plan (Required) \u2013 45 CFR 164.308(a)(7)(ii)(B)<\/li>\n<li>Emergency Mode Operation Plan (Required) \u2013 45 CFR 164.308(a)(7)(ii)(C)<\/li>\n<li>Testing and Revision Procedures (Addressable) \u2013 45 CFR 164.308(a)(7)(ii)(D)<\/li>\n<\/ul>\n<p><em>Device and Media Controls Standard, 45 CFR 164.310(d)(1)<\/em><\/p>\n<ul>\n<li>Data Backup and Storage (Addressable) \u2013 45 CFR 164.310(d)(2)(iv)<\/li>\n<\/ul>\n<p>In addition to the Standards and Implementation Specifications listed, there are many others that factor into the procedures and safeguards that are implemented in the Backup and Recovery Process.<\/p>\n<p><strong>Q: What about a firewall?<\/strong><br \/>\nA: A firewall can be considered in multiple Standards and Implementation Specifications across the HIPAA Administrative, Physical, and Technical Safeguards. Remember that the purpose of a firewall is to restrict access to networks through a selective process of blocking inbound traffic. \u00a0In some cases, firewalls or content filters will also block outbound traffic.<\/p>\n<p>While HIPAA does not call for the direct implementation of firewall technology, in most cases, it is the most reasonable and practical approach to addressing the requirements laid out in the HIPAA regulations.<\/p>\n<p><strong>Q: What methodology did you use to come up with the 136 audited components for ATMP\u2019s independent HIPAA audit?<\/strong><br \/>\nA: In the development of the assessment methodology, a combination of technical, health care, and HIPAA knowledge was used. HIPAA is very clear in some areas and provides guidance in other areas. An objective risk based approach was integrated in the overall assessment process making it adaptable to any Covered Entity or Business Approach.<\/p>\n<p><strong>Q: Can you explain why there is no such thing as \u201cHIPAA certified\u201d?<\/strong><br \/>\nA: Unlike other compliance standards such as ISO and <a href=\"https:\/\/www.onlinetech.com\/secure-hosting\/sarbanes-oxley-sox-compliant-hosting\">SOX<\/a>, HIPAA has not yet implemented a single audit standard. The industry relies on individuals and organizations who possess background in Information Technology, Health Care, and HIPAA to reasonably guide Covered Entities and Business Associates through the compliance process.<\/p>\n<p>One of the main reasons that HIPAA has not implemented a single audit standard is due to the fact that one set of regulations governs all health care entities and their business partners. In other words, unlike <a href=\"https:\/\/otavawebsite.wpengine.com\/compliance-security\/pci-compliant-cloud\/\">PCI<\/a>, HIPAA does not have a subset of requirements in place, based on the size of the organization. HIPAA, in its original and current state, was designed to be a flexible, scalable, and vendor neutral architecture for compliance.<\/p>\n<p><strong>Q: How many audited components go with each standard\/citation ?<\/strong><br \/>\nA: Based on the size and type of organization, we have adopted the following framework:<\/p>\n<figure id=\"attachment_5973\" aria-describedby=\"caption-attachment-5973\" style=\"width: 456px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/otavawebsite.wpengine.com\/blog\/hipaa-hosting-qa-with-a-certified-hipaa-practitioner-security-specialist\/defined-scope-of-compliance\/\" rel=\"attachment wp-att-5973\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-5973\" title=\"Defined Scope of HIPAA Compliance\" src=\"https:\/\/www.otava.com\/wp-content\/uploads\/2019\/04\/Defined-Scope-of-Compliance.png\" alt=\"Defined Scope of HIPAA Compliance\" width=\"456\" height=\"385\" \/><\/a><figcaption id=\"caption-attachment-5973\" class=\"wp-caption-text\">Defined Scope of HIPAA Compliance<\/figcaption><\/figure>\n<p>Still have other HIPAA-related questions? For more <a href=\"https:\/\/otavawebsite.wpengine.com\/compliance-security\/hipaa-compliant-cloud\/\">HIPAA hosting<\/a> resources, see our <a href=\"https:\/\/www.onlinetech.com\/secure-hosting\/hipaa-compliant-hosting\/resources\/hipaa-faq\">HIPAA FAQ<\/a> and <a href=\"https:\/\/otavawebsite.wpengine.com\/reference\/hipaa-glossary-of-terms\/\">HIPAA Glossary of Terms<\/a>.<\/p>\n<hr \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" src=\"https:\/\/www.otava.com\/wp-content\/uploads\/2019\/04\/joe-dylewski-100.jpg\" alt=\"Joe Dylewski of ATMP Group\" width=\"100\" height=\"138\" \/><\/p>\n<p><strong>Joe Dylewski, President, ATMP Group<\/strong><\/p>\n<p>Joseph Dylewski is a twenty-five year Information Technology Professional veteran, a Certified HIPAA Professional (CHP), and a Certified HIPAA Security Specialist (CHSS) with ten years spent exclusively in the Healthcare Industry. In addition to holding positions as a Project Manager and Director of Information Technology, Joseph has also served as a Healthcare IT Services Practices Director and Account Manager with a proven track-record of successfully delivering end-to-end IT application and infrastructure project services. Joseph also currently serves as an Assistant Professor at Madonna University.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>We get a lot of questions from clients about HIPAA compliance and security. To help clear up any confusion, our Certified HIPAA Practitioner (CHP) and Certified HIPAA Security Specialist (CHSS) Joe Dylewski of ATMP Solutions answered the questions we shared with him below: Q: What is the association of NIST w\/ an independent HIPAA audit? A: NIST is the National Institute of Standard and Technology. ATMP, utilizing SecureGRC, leverages NIST guidance when conducting HIPAA Risk Assessments. Q: Is it possible to be HIPAA compliant without an HROC (HIPAA Report on Compliance \u2013 or without a HIPAA risk assessment? A: No. 45 CFR 164.308(a)(1)(ii)(a) is a required Implementation Specification under the HIPAA Security Rule, Security Management Process Standard. An HROC is not a required document. However, organizations must be able to produce evidence that they have completed an assessment and resolved any deficiencies or vulnerabilities. An HROC demonstrates the auditable steps that an organization took in that process. Q: Can you explain where the HITECH act specifies antivirus is \u201crequired\u201d? A: \u201cProtection from Malicious Software,\u201d 45 CFR 164.308(a)(5)(ii)(b), is an Addressable Implementation specification under the HIPAA Security Rule, Security Awareness and Training Standard. Addressable does not equate to Optional. \u201cProtection from&#8230;<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"other_category":[],"class_list":["post-1852","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>HIPAA Hosting Q&amp;A with a Certified HIPAA Practitioner &amp; Security Specialist | OTAVA<\/title>\n<meta name=\"description\" content=\"Certified HIPAA Practitioner (CHP) and Certified HIPAA Security Specialist (CHSS) Joe Dylewski of ATMP Solutions answered your HIPAA questions:\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.otava.com\/blog\/hipaa-hosting-qa-with-a-certified-hipaa-practitioner-security-specialist\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"HIPAA Hosting Q&amp;A with a Certified HIPAA Practitioner &amp; 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